Social obligations of individual Nurse
Responsibilities being a professional Nurse
Professional organizations for Nurses
HAQ NAWAZ KHAN SADIA HEDAYAT
Define Professional accountability
Discuss the accountability of a professional
Elaborate the social obligations of a nurse
Explain the responsibilities of a professional
Enlist and discuss the nursing organizations
Describe the function and mission of PNC
Discuss PNF and its functions
At the end of this presentation, the learner will be able to:
Accountability is a legal obligation in health care which
is also an ethical and moral responsibility. It is
important to assume responsibility for one’s own
nursing practice. The American Nursing Association
(ANA) has a code that states
that the nurse will assume accountability for nursing
judgment and actions.
Professional accountability means that the
professional take decision or action not b/c
someone told him/her to do so, but b/c, having
weighed up the alternative and consequence in
the light of best available knowledge, he/she
believe that this is the right decision or action to
( Clark 2000 p. 2)
Accountable to whom?
Watson (1995) and Clark (2000) says that the
nurse is accountable to
Patient through a duty of care, underpinned by
a common-law duty to promote safety and
efficiency, and legal responsibility through civil
Management as defined by your contract of
employment and job description;
Social obligation of individual nurse
The nurse should work for the benefit of
society because he/she is the most trusted
Assesses health status of individuals, families, and
communities; develops plans and implements
appropriate nursing interventions.
Evaluates and determines health resources
necessary to meet individual, family and
community health needs.
Educates individuals, families, communities, and
members of the health care team about the
principles of disease prevention and health
contribute to the advancement of a healthy society
Responsibilities Being a Professional
A nurse who has education is beyond the
basic nursing education and is certified by
a nationally recognized professional
Assess health needs,
Develop diagnosis plan,
Implement and manage care, evaluate outcomes of care
Prevent diseases and disability,.
Direct care or manage systems of care for complex
Provides supervision to other professional or
paraprofessional personnel; collaborates with other
professionals in the management of health care.
Delegates tasks as may safely be performed by
others, consistent with educational preparation and that
do not conflict with the provisions of the Oklahoma
Nursing Practice Act.
Assures quality health care through use of various
measures such as record review, peer review, direct
observation, and assessment of individual, family, and
community for the desired outcome.
Performs specialized nursing functions as educationally
Professional organizations for nurse.
The 1st professional organization for nurses was
founded in year 1887 AD. ( British nursing
association BNA). At the end of 19th century
hospital was not charity institution but the place
where scientific method and surgery were
practiced. These two factor produced sharp rise
in increasing number of nurse training school in
the world. At the end of 19th century nurse were
taking the task such as taking temperature
which not happen earlier. ( Morten 1995).15
Nursing organizations connect professionals in the
field with one another.
This facilitates the creation of a community of
nurses who can work together to promote and
protect the profession.
This power can be used for lobbying to affect
public policy or negotiating as a bloc for higher
wages or better benefits.
Specific goals will vary in each organization.
Joining a professional nursing organizations is an
option for nurses in all fields around the world.
Nursing organizations exist at every level of the
profession. Professional organizations may be
broad, as in geographically focused groups whose
members share a nationality or state. They also
can focus on a niche of the profession, and many
groups exist for nurses who practice a particular
specialty. Just as there are multiple types of
nurses, there are organizations for each.
Registered nurses (RNs), licensed professional
nurses (LPNs) and nurse practitioners all can find
organizations for their professions.
Benefits and effects
Experienced nurses may mentor new graduates.
Nurses can share stories and techniques, offering advice or understanding
Creating a community facilitates the spread of information, which can be
used to get the word out about medical advancements or even help
members find jobs through word of mouth.
Organizations also may offer continuing education opportunities and nursing
Integration with Hospital Teams
Coordination with Other Providers
Examples of Nursing Organizations
International Nursing Council
American Nurses Association
Pakistan Nursing Council
Pakistan Nurses Federation
Nursing Organizations after Birth of Pakistan
Year ACT Reason for Change
1949 Central Nursing
To establish a uniform standards of training
and certificate throughout country.
Profession was evolving and changes were
needed in different such reduction in nursing
categories admission criteria for nurses to
name a few .
Establishment of examination boards,
addition of course in curriculum,
inclusion of private schools as a
member and re-enforcing the licensing
PAKISTAN NURSING COUNCIL
The PNC is an autonomous, regulatory body
constituted under the Pakistan Nursing
Council Act (1952, 1973) and empowered to
register (license) Nurses, Midwives, Lady
Health Visitors (LHVs) and Nursing Auxiliaries
to practice in Pakistan. PNC was established
Function of PNC
PNC sets the curriculum for the education of
Nurses, Midwives, LHVs and Nursing Auxiliaries.
PNC inspect educational institutions for approval
based on established standards.
PNC provides registration (license) to practice.
PNC maintains standards of education and practice.
PNC works closely with the four Provincial Nursing
Examination Boards (NEBs).
PNC plays an advisory role for the overall benefits of
nurses, Midwives, LHVs and Nursing in the country.
PNC maintains an advisory role for the Federal and Provincial
Governments regarding nursing education and nursing services.
PNC communicates policy decision regarding nursing education and
the welfare of nurses, taken in council meeting, to governments
Nursing institutions NEBs and Armed Forces Nursing services for
PNC prescribe penalties for fraudulent registration by intention of
pretense, and removes person form the register for professional
Mission of Pakistan Nursing Council,
Pakistan Nursing Council, as significant participant in
the health care delivery system in the country is
dedicated to provide support for the professional
development and competencies of those who study
Nursing, Lady Health Visitors and Midwifery.
The aims of PNC also include monitoring for
implementation of national standards in
Nursing, Health Visitors and Midwifery education and
practice by providing Registration /infrastructure and
arranging continued educational opportunities for
Pakistan Nurses Federation
The Pakistan Nurses Federation (PNF) is an
independent non-governmental professional
association of nursing in Pakistan.
The PNF was registered on July 6, 1972, by
the Assistant Registrar, Joint Stock
Companies, Lahore Region, under Societies
Act 1860, as a successor to the Trained
Nurses Association of Pakistan which was
founded and duly registered in 1949.
Organization of PNF
PNF consists of branches in cities and
districts across Pakistan. These branches
report to the Provincial Nurses Associations
(PNA) in each province. The PNAs, in
turn, communicate directly with the national
body of the PNF.
Functions of the PNF
To work for the welfare and betterment of
nurses, Midwives and health visitors in
Pakistan and AJK.
To pursue and enter into negotiations with
concerned Government regarding matters
pertaining to the welfare of nurses.
To advance high ethical and professional
standards among nurses.
To bring professional knowledge and skills
to the service and care of the sick.
To improve nursing practice through in-
To publish a journal providing updated
information in nursing.
To endeavor to furnish legal aid to
members, within the financial means of the
PNF, when needed by them for the protection
Accountability in Nursing and Midwifery
By Stephen Tilley, Roger Watson